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CMS NEWS
FOR IMMEDIATE RELEASE Contact: CMS Media Relations
June 14, 2013
CMS issues Program Integrity guidelines for Marketplace
Proposed rule would safeguard federal funds and ensure consumer protections are in place
Proposed rule would safeguard federal funds and ensure consumer protections are in place
Today,
the Centers for Medicare & Medicaid Services (CMS) released a
proposed rule outlining program integrity guidelines for the Health
Insurance Marketplace (Marketplace) and premium stabilization programs.
Through
the Affordable Care Act, consumers and small businesses will have
access to new Marketplaces where they can access quality, affordable
private health insurance. Consumers in every state will be able to buy
insurance from qualified health plans directly through these
Marketplaces and may be eligible for tax credits to lower the cost of
their health insurance.
“In
just a few months, consumers across the country will have access to a
new Marketplace in their state where they can easily shop for health
insurance that meets their needs and the needs of their families,” said
CMS Administrator Marilyn Tavenner. “The release of these guidelines
signals that we’re ready to build on our ongoing efforts and ensure that
the new systems are fiscally sound.”
Many
of the provisions in today’s rule build on guidance previously issued
to states and other key stakeholders. The policies offer clarity on
oversight of various premium stabilization and affordability programs,
build on state options regarding the Small Business Health Options
Program, and provide technical clarifications.
With
open enrollment only a few months away, consumers can look forward to
receiving more information in the coming weeks and months about how to
enroll in the Marketplace.
This
summer, CMS will re-launch HealthCare.gov, where consumers will have
access to real-time information and help to sign up for coverage during
open enrollment in October.
The
Marketplace call center will begin taking calls from consumers,
beginning with educational information and then assisting with
enrollment and plan selection on October
1.
CMS will also begin consumer assistance training this summer so that
consumers will have the help they need in applying for and choosing the
coverage that is right for them.
To view a fact sheet on the proposed rule, visit: http://www.cms.gov/CCIIO/
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